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VNA SPACE COAST PRIVATE CARE, INC.

Company Details

Entity Name: VNA SPACE COAST PRIVATE CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 30 Sep 2019 (5 years ago)
Document Number: N19000010308
FEI/EIN Number 65-1002301
Address: 391 COMMERCE PKWY, ROCKLEDGE, FL, 32955, US
Mail Address: 391 COMMERCE PKWY, ROCKLEDGE, FL, 32955, US
ZIP code: 32955
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396356119 2020-08-14 2023-06-19 445 24TH ST STE 300, VERO BEACH, FL, 329607502, US 391 COMMERCE PKWY STE 240-260, ROCKLEDGE, FL, 329554209, US

Contacts

Phone +1 772-978-5585
Fax 7729785509
Phone +1 321-752-7550
Fax 3214173394

Authorized person

Name MR. DANIEL BACH
Role CFO
Phone 7729785550

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes

Agent

Name Role Address
EMMONS REBECCA FESQ Agent 2101 INDIAN RIVER BLVD STE 200, VERO BEACH, FL, 32960

Chairman

Name Role Address
Stengel William Chairman 161 Bermuda Bay Lane, Vero Beach, FL, 32963

Vice Chairman

Name Role Address
JOHNSON RICHARD Vice Chairman 859 RIDGE LAKE DR, MELBOURNE, FL, 32940

Treasurer

Name Role Address
Fegert Ford Treasurer 1201 19th Pl, Vero Beach, FL, 32963

Chief Executive Officer

Name Role Address
Fields Lundy Chief Executive Officer 1110 35th Lane, Vero Beach, FL, 32960

Director

Name Role Address
McCrystal Ann Marie Director 511 Bay Drive, Vero Beach, FL, 32963
McGee Mike Director 920 Bowline Dr., Vero Beach, FL, 32963

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-03-14 391 COMMERCE PKWY, ROCKLEDGE, FL 32955 No data
CHANGE OF PRINCIPAL ADDRESS 2022-04-26 391 COMMERCE PKWY, ROCKLEDGE, FL 32955 No data
REGISTERED AGENT NAME CHANGED 2020-06-29 EMMONS, REBECCA F, ESQ No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-03-14
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-02-08
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-06-29
Domestic Non-Profit 2019-09-30

Date of last update: 01 Feb 2025

Sources: Florida Department of State